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Can Cudo forte help in maintaining creatinine level?
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I am 32 Year old female suffering from CKD since 6 years. I was diagonised with CKD 6 years ago. It was initially 1.4 and slolwly progressed to 5.6 last November over the past 6 years. Now my Creatinine is fluctuating between 4 and 4.4. I have very Normal BP (between 100 and 110) and no Diabetes. No history of CKD. My Ultrasound revealed that my size of kidneys are 7 cm. I have good appetite and no swelling. I Urinate well, sometimes more that usual. Biopsy was not done as I missed that timeframe. Is it possible to maintain this? How to Maintain? I am vegetarian? Can I take Cudo Forte? Will that help? Appreciate your response in this regard.
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Your disease is progressive. It cannot be reversed. Based on your weight you may be in stage IV or V. You need to be prepared for the next options. That is called renal replacement. It can be dialysis ( either hamodialysis or peritoneal dialysis) or a preemptive renal transplantation. You need to have an access for dialysis that is to be created now. Regarding food current guideline suggest to take a low protein diet, since you are a vegan avoid pulses. Restrict fruit/fruit juice intake. Measure your urine volume at least once a week and adjust your daily fluid intake accordingly. Be alert for any decrease in urine output, swelling of body or breathlessness. Visit your nephrologist at least once a month, check your serum creatinine and serum potassium at least once in a fortnight.
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Diabetes under control, on medicines for high BP, have high creatinine. Which homeopathic medicine is advisable?
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I am female of 61 years old and was diabetic. But for last 8-9 months diabetes is under control. I have normally high blood pressure for which allopathic medicine is being regularly taken. Now slightly high creatinine of 1.3 is recently noted. Please advice homoeopathic medicine. However I am not very active which I can not help because of my nature.
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in homoeopathy as such there is no specific medicines for htn and diabitis but you shoud personaly consult a homoeopath and gave your whole history than after your apropriate treatment will be possible.
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Does lump on gum filled with puss cause any problem while travelling?
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Hi - I am 49 and have been invited to go to Vietnam at the end of the month with a well travelled friend...the only problem is i have gum disease [confirmed by dentist] and can feel another lump on my gum, showing pus-filled spots, which will burst and return again..should i get the problem sorted before going so far away or doesn't it make any difference? thanks... Catherine
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Thanks for your query, I have gone through your query.The gum infection could be because of the deposits, the other possible cause for this repeated gum infection could be diabetes. Repeated or multiple periodontal abscess can occur in diabetes. Consult a oral physician and get it evaluated. Get your teeth cleaned once. Get the blood sugar level checked once. For the gum infection, you can take a course of antibiotics.I hope my answer will help you, take care.
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What does a sore spot under the tongue indicate?
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for the past few months, a sore spot has come & gone on the bottom side of my tongue. More recently, I had a head cold with congestion & phlegm in my throat. The cold is gone now but I still have some mucus towards the back of my tongue & throat area. my tongue swells up & throat is sore. also topside of tongue feels raw & burns. Do you have any ideas as to what might be causing this?
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Hi..Thanks for the query..I have gone through your query and can understand your concerns..As per your complain you are suffering from RECURRENT APTHOUS ULCER which is causing you the eruption of a small sore spot under the tongue..Burning sensation of tongue is due to inflammation of the tooth leading to Glossitis..It can be caused due to a number of reasons like Stress, Nutritional Deficiency [Iron, Vitamin B12 and Folic acid] , hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, uncontrolled diabetes and other immunocompromised conditions etc...You need to consult an Oral Physician or a general dentist in this regard to get evaluated and treated..For apthous ulcer you can do warm saline garglesGargles with 1:1 solution of benadryl and milk of magnesia can help..Apply numbing gel over the sore for relief from pain especially during eating..Take a multivitamin tablet for a period of 15 days..Avoid spicy, sour and acidic foods..In case if still the condition does not subside the physician can prescribe you to take a Steroid course as it it the ultimate treatment in case if nothing else works..Hope this information helps.Thanks and regards..Dr.Honey Nandwani Arora
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What causes high levels of liver enzymes and blood sugar?
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the dotcor said my liver enzyme were high and blood sugar were a little hih, been getting dizzy ( off balance) numbness in face hand and feet, ekg test came back fine going to get a mri brain scan and also having a ultrosound of the liver any ideas what is going on?
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Hello,Elevated liver enzymes could be because of several causes ( viral, congenital, metabolic, autoimmune, Elevated sugar levels or uncontrolled diabetes, Elevated thyroid levels, high cholesterol levels, but they can be transiently elevated in some systemic infections, so getting your self investigated with basic viral markers, sugars, thyroid, cholesterol levels, with an USG abdomen is essential, if anything is positive , specific treatment can be started , but if they are negative, you should be completely evaluated by your Gastroenterologist. Hope I could help you. Thank you.
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Masturbation addiction, frequent urination, back pain. Symptoms of prostrate cancer?
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hi sir iam 23 year old guy ,i mastrubate 4 time a day since i started ejacuation(16) then my problem now is i have to urine regularly nearly 15 time a day and i also drink lot of water iam feared that iam effected with prostate cancer and recently i have noticed iam having a continous back pain this may be the symptoms doc pls help me it is very diffixult to travel since i have to urinate regularly and i also tested for diabities but came negative pls help me
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Hello, Thank you for posting this query. First of all, at your age, the possibility of you having prostrate cancer is less than 0.00001%. Just say it is old people's illness more than 40 years. If you are urinating and drinking frequently it is possible that you either have an infection or a metabolic/electrolyte disorder. So it will be useful to conduct a urine analysis and blood electrolytes. Since you said, your blood sugar level was tested and it was normal reason for conclusion you do not have diabetes. I will suggest that a fasting blood sugar be run at two different instance of more than 6 hours difference. If there are abnormalities in your urine analysis and electrolytes it can be treated accordingly by your doctor. There is another possibility of your frequent urination being due to the two much humidity or increased thirst or even two much dryness. When you feel too thirsty, you drink too much water and subsequently urinate frequently. You might be having an abnormal physiologic disturbance which if allowed with time and change in environment, you will gradually stop urinating too much. In any case which you a quick recovery and hope you meet a doctor soon enough to run some test. As for your masturbation problems, i think you need a lot of counselling from a sexual disorder specialist. It will require a lot of discipline from your part to stop masturbating and you need to be treated from your chronic masturbation addiction. Hope this helps
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Suggest treatment for fever when suffering from diabetes
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Sir I m 50 diabetic 18 yrs I m having fever 100 average for last 20days doctor say thyroditis gave medicine for 10 days still not felling well fever 101.6 is still there heart beat faster 117 per minute Weight loss is there sugar levels is high taking insulin from last 6 days just now pp sugar level 210 after taking insulin humalog mix 25 . I took 16 units please help s me I will be grateful
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Hi, I had gone through your query and understood your concerns.the fever might be due to excess of thyroxin hormone produced due to thyroiditis due to excess of thyroxine you are having problem of palpitations.in my opinioni suggest you to increase the dose of insulin and need to be made it twice daily.kindly see your doc and discuss with him Hope I was able to help you.If you have any further question feel free to write me back. I will be happy to help.Take care.Best Regards.Dr Vamsi KrishnaConsultant DiabetologistApollo Hospitals
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What is the cure for the sore lump in the between fifth and fourth toe which is draining?
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I have redness in the distal/terminal area of my left foot (top) between my fifth and fourth toes (baby and ring toe) that I beleived might be related to wearing tight ski boots and athlete's foot in the small toe area. It has been very tender to the touch and sore for three weeks now. I have treated my althlete's foot with an anti-fungal cream and spray (for five days now), but the area on top of my foot between the forementioned toes has become sorer, redder, and has come to a head (white and painful). I carefully puctured it with a sterilized instrument and white/grey pus ozzed out (but it has relieved the pain and pressure somewhat). I have put an antibiotic (bactricin) cream on it, pressed all the pus out that I could, and would like to know what you might recommend from here. Thank you.
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Hi.This looks to be an infection which has now spread under the red skin. As the history is of 3 weeks, I would suspect the slough of dead tissue underneath, which needs to be excised and the incision and drainage be properly done for early and complete recovery. I hope you do not have associated diabetes / you are not using any tobacco products. Do not put any creams on it as it may obstruct outflow of pus and may cause super-infection. Visit a Surgeon and request him for a proper surgery to open up the abscess and do debridement.
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What causes the outer part of the bottom eye lid to twitch?
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I m 15, and have Type 1 Diabetes. I m on an insulin pump, and my BS is pretty well controlled. Recently, the outer part of my bottom right eyelid has been twitching, on and off. Shortly after that started happening, I ve noticed i don t have much of an appetite anymore. Can you help me?
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Hello,I read carefully your query and understand your concern. The most common causes of eyelid twitching are stress, fatigue, and caffeine. To ease eye twitching, you might want to try the following: --Keep your eye surfaces lubricated with over-the-counter artificial tears or eye drops. -Apply a warm compress to your eyes when a spasm begins.If the symptoms continue, see a neurologist.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
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What causes persistent abdominal pains and cold sweat?
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hi my father is 69 yrs. old for about the last 4 months he has been having lower stomach pains, he has cold sweats in the night, he also has heaviness of the stomach, he also has been having trouble going to the bathroom, he has lost a great amount of weight. He has a loss of appetite. He has blood pressure and Diabetes. He's 5ft 4inches.
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Significant weight loss one of symptom of cancer,, bp and sugar had no relation with it, night sweats may be due to hypoglycaemia, check glucose at the point of sweating, do occult blood in stool and upper gi endoscopy
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Can the BP be lowered in two months?
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Hi, 36 and had an annual healthcare check today only to find out my BP is 160/95, rather than continue the check I decided to stop it and come back in 2 months. I have had an unhealthy month up till now (poor diet and to much alcohol) and figured with a strict diet, no alcohol and moderate exercise I should be able to get it down to a healthier level over the two months - is this possible?
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Hello, After going through your medical query I understand your concern and I would like to tell you that yea sedentary lifestyle can lead to hypertension or diabetes in young age. If your lifestyle is also sedentary then I would recommend you for lifestyle modifications which include: 1. No junk/fried food, 2. Low dietary salt, 3. Daily physical activity for 45 min 5 days a week, 4. DASH diet. Follow good lifestyle habits and keep checking your blood pressure at home and then reconsult your physician in 3 months. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist
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What causes pain in chest and arms during weather change?
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Hi, I usually feel sick when clouds start gathering before rain (sometimes there is no signs of rain the day before and the sky is clear and I start feeling sick, then clouds start gathering afterwards), I can't tell if its allergy or what (I don't suffer from those allergies usually only skin/milk allergies) what I feel is a a terrible pain in my chest and arms,and I feel very down, I can't also talk or do any activities properly.Thank you in advance
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This may be a symptom of coronary artery disease(ischemic heart disease).Risk factor assessment to be done.Pls provide age/sex/smoking history/History of hypertension/diabetes any regular medicine/family history of heart diseases.Some basic test (like fasting blood sugar/lipid profile/ECG )may require if indicated.Thank you.
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Does lisinopril cause rapid heart rate?
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I have started taking lisinopril for high blood pressure two days ago. I was taking metropolol but I have diabetes and my doctor thought it was better. My heart rate seems to be up as high as 100 from my typical 70-80. Could this be caused by the lisinopril.
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Greetings. Welcome to HCM and thank you for your question. I understand your concern. Lisinopril is an angiontensinogen converting enzyme inhibitor (ACE-I) and is effective and safe in lowering the blood pressure, but no effects on heart rate whatsoever. Normal heart rate is between 60 and 100 beats per minute. This increase in heart rate you are experiencing is rather from discontinuing the metoprolol, which has heart rate-lowering features. If this is a worrisome happening to you and produces any symptoms, then you can discuss with your cardiologist about the possibility to put you on a drug that have bot blood pressure- and heart rate-lowering features, such as verapamil or diltiazem. I hope I was helpful with my answer. Take care. Kind regards. Dr. Meriton
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Elevated eosinophil count, early morning sneezing, nose and eye irritation. Remedy?
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My eosnophlia count is 10, other test results of CBC, diabetes and thyroid are OK. I get affected easily from Bangalore climate - sneezing , nosing, nose & eye irritation etc particularly in mornings. My age is 65. I do 1 Hr walking in the morning and take controlled food. Otherwise I m fit and am still working in an Engg Firm. Advise me ways to control this allergic deficiency and to reduce eosnophlia count. YYYY@YYYY 0000 Bangalore
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Hello, Reading your query and the results of the blood tests, I presume that the percentage of eosinophil count is 10% that has several causes. The commonest cause in tropical countries is parasite infections, and antiparasitic treatment is recommended after stool culture studies. This is a must before going through unnecessary tests or treatments. If the eosinophil count remains high and sneezing and rhinoconjuncitivitis symptoms persist, it would sugest allergies as the underlying cause. Pollen allergy, smoke (industrial) are major factors that needs high dose antihistamines and steroid nasal sprays. The duration of treatment will depend on the trigger (i.e., seasonal vs perennial [all year around]). There are several other causes but infections, allergies and rarely autoimmune diseases are causes of raised eosinophil counts. I also hope you have recognised red flags such as significant loss in weight and appetite that should be taken more seriously. I hope this was useful. Best Wishes.
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Renal ultrasound showing moderate increase in the right renal cortical echotexture. What does it mean?
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my renal ultrasound showed moderest in crease in right renal cortical echotexture consistent with medical renal disease . mild increase in left renal cortical echotexture consistent with medical renal disease. what do this mean. thank for your help. increase in right renal cortical echotexture which is slightly less than the liver .
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HIThanks for the query.Did you have any symptoms when the test was performed?Also do you have any pre existing conditions like diabetes or hypertension?Altered echotexture is often a sign of kidney damage. This can be confirmed by doing blood tests like Urea, creatinine and CBC and urine analysis.You need to see a nephrologist with the results of the above tests. He/She can examine you and make the appropriate diagnosis.Hope this helpsGood luck.
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What causes weight loss and cold sensation in the fingers and toes?
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hi i am a 50 yr old male and the last 4 days my fingers and hands are ice cold as well my feet and toes ... 5 years ago i was 405 pounds .. but have lost 150 through diet and excersize .. was a type 2 diabetic injecting insulin 3 times a day .. i have been insulin free for over 3 yars now since weight loss.
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Hello,Hello,Welcome to Healthcare Magic.I have read your question fully and understand your concerns.Cold peripheries could be due to hypothyroidism. It could be due to peripheral neuropathy – where the nerves of your hands and feet are affected. Peripheral neuropathy can be a complication of diabetes. It could also be due to poor circulation, called peripheral vascular disease, though it is a bit unlikely in your case as you are complaining in both your hands and feet.I would advise you to see your doctor for a thorough assessment and examination and to come to a diagnosis.I hope this answer has helped you.Thank youRegardsDr Sunita Sayammagaru
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Will taking Cytotec during a pregnancy create complications?
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good morning dr.i am two months pregnant.37 years old,i have diabetes but not to the extent of taking insulin.i am afraid for my baby so i planned to take cytotec,i weigh 64k and 5 4 in height,i know its wrong but this is the last remedy i can think of.and i didnt plan for it..will there be a complication if i take the pills now?
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HiCytotec alone should not be used for termination and termination should never been done with out an obstetricians supervision.It should be taken after taking another tablet,.HENCE DISCUSS WITH YOUR DOCTOR AT THE EARLIEST
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Diabetic after kidney transplantation. Is fistula flap or plug safer?
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My husband is a kidney transplant patient. Three years with the kidney and doing great. He is also diabetic taking 4 shots a day. He needs to decide between a fistula flap or plug. I have been reading about both and frankly they both scare me and there is no reason that the abcess will not come back. It is so hard to make a decision when the doctor is handing you a pen saying decide and sign. We need more information. He does not want to add incontinence to all his other issues.
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hi you have lost one major organ d/t diabetes drug .you know bettr from me.i want to say to u that u could take help of homeopathy in other problem with your treatment. dr neeraj
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Suggest cause for numbness in toes after exercise
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When I exercise my toes become numb and tingle.my toes and fingers are always the first to get cold on my body Each time I ask a doctor during my visit, they slayer test me for diabetes. I have been tested for diabetes and I do not have that. What could this be?
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Hello, The numbness and tingling after an exercise and the cold fingers are likely to be related to low levels of vitamin B12. You can start with proper supplements after getting your levels tested. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon
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Could frequent urination suggest prostate problems?
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My husband is 48 and gets up through out the night to use the restroom. And he has been going more often during the day. He has been going to the dr s to be checked for diabetes because it runs on both sides of his family. He asked his dr if he should get his prostrate checked but the dr. Said he isn t 50 yet so he doesn t need to worry about it. But, I disagree I think only 2 yrs always is close enough.
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thanks for your query in HCM,Frequent urination could be commonly due to urine infection, diabetes or prostate enlargement. please get urine checked and blood checked for sugar levels, get an ultrasound done to see for prostate enlargement. then the cause for using restroom frequently could be found out.thank you
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Poor recovery from gall bladder removal, recurrent infection, elevated lipase, ALT. Will allergist testing be done at Mayo ?
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History since age 17: ibs by age 60 mild inflammatory colitis to cholecystitis, culminating in the removal of a diseased gallbladder in september 2013. Since that time, two months of poor recovery, digestion problems, and 4 months continuing inability to eat normally, and suture not healing, with mild infection. Repeated blood tests show elevated lipase and now alt([pt), Tbil low abn liver function tests, and cbc MO% just above normal H. Doctor has assigned a hepatitis and hepatic function panel, ana, & asma.to be taken friday. Years previous have had + & _ allergy test results and brittle asthma and cardiac svt with long rp yielding angina like symptoms. Turning 70 years in January 2014. Dr. has recommended allergist testing. should i be going to Mayo Clinic?
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HelloThanks for the query to H.C.M. Forum.Allergy test will find out sensitivity to certain allergen and usually helpful for asthma and allergy.As you mentioned that raised level of lipase and A L T .As gallbladder already removed so you may got infection of liver also.In my opinion also get in M R I of liver as well as pancreas .In this type of cases usually patient develop pancreatitis , diagnosis can be confirmed by estimation of lipase and amylase .As you mentioned that suture is not healing , so get in HBA 1 C and also blood sugar examination.In my opinion at present you require.1 Allergy test as desired by your doctor .2 Mri of liver 3 Pancreatic enzymatic tests 4 Diabetes rule out.Consult a physician and get his opinion and all tests as mentioned above.Good luck.Dr. HET
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Why the right side of the body and left leg below the knee lame?
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Hi, I have lost 55 kgs without dieting. (over a period of a year). I cannot stop losing weight. My doctor has done some blood tests, but they are all okay. I have COPD but my chest is much better now. Find now that I am very tired and that the right side of my body and left leg below the knee feels lame?
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Hi Dear !! Thanks for your query to HCM .Read and reviewed your query and health concerns. You seems to suffer from -In the given scenario, ?Lung TB needs to be ruled out by IGRA blood and sputum tests to fix active but hidden TB.Or it could be Chronic Bronchitis with relieved COPD lately.For the tired feeling and for the right side of my body and left leg below the knee feeling lame-Need to Consult Orthopedic and NeuroSurgeon-to fix any accompanied-TB spine or Multiple Sclerosis ?Other causes for such complaints as diabetes and other causes as discussed above need to be ruled out , investigated and treated accordingly by Consults and Second opinion with Neuro-logist and Orthopedic Surgeon.Hope this would help you to plan further care of this complex illness of yours.If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.If you want to update more details and ask more update queries ,You are most Welcome herewith !!Good Day!!Wishing Good Healthy Life in time to come!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS
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What causes prediabetes?
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I have a 17 year old that went in for a physical at pediatricians they took a non fasting blood test and registered 128.7 , Dr dx prediabetic and has asked for a sugar blood fasting test , scheduled next week. How concerned should I be as a parent and what could cause this. He is 6 1 and 301 lbs.
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Hello,Prediabetes can be treated with lifestyle modification such as:1. Maintain a healthy weight with BMI 20 to 22.2. Do regular physical activity.3. Proper sleep of 6 to 7 hours per day.4. Stress Management prefer meditation.5. Take a low-calorie, fiber, and protein-rich diet.6. Have small frequent meal.7. Cut down on simple carbohydrate.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ssulthana82
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Urine culture showed Providencia rettgeri bladder infection, kindly suggest
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I have a friend with Providencia rettgeri bladder infection.he has no systemic symptoms.He just finished 6 month of anti tuberculosis treatment for gu tract.He is afebrile. He just has urinary frequency .He is 58, ambulatory, mild diabetes type 2. please help, thanks, janardan
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Hi well come to Hcm. Get done his urine repott,if normal frequency could be due to Diabetes or prostate enlargement. Thanks.
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What is the cause of stomach ache and no bowel movement?
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My 3 year old daughter is usually a playful energetic soul with a good appetite. For the last three or four days, she has been complaining of a stomach ache. She started waking up at night and has just become lethargic. She will just lay around or put her head down on the table. She doesn t even enjoy her after dinner snacks anymore. She went a few days without a BM but has since had a couple, but no relief. She has not run any fever and seems to be tired a lot more than usual. Appetite is not as high as usual and energy level is very low. Diabetes and asthma run in the family. I m starting to get concerned!!
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Hi...with a history of diabetes and asthma running in the family I am more concerned about her early onset diabetes of DKA than asthma. This I am stressing as you say that there is an accompanying stomach pain. I suggest you get her to her pediatrician or if she is too tired and not passing urine well, bet take her to the nearest emergency room.Regards - Dr. Sumanth
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Can anemia cause hearing loss?
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I was hospitalized and it was found that I am anemic my hemoglobin count went down to 5 was told it should be 12 or 13. I am a 56 year old female, I weigh 250 lbs and I am 5ft. 9 in. I now have hearing loss in one ear. I feel like this has something to do with the anemia. My doctor checked my ear for wax buildup but there was none.
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Hi!First the facts 56 yrs, 250 lbs, 5ft. 9in (BMI -36.91-Obese),low Hb,unilateral deafness.Can anemia on its own cause deafness? Theoretically a low hemoglobin leads to impaired oxygen supply to all tissues including those involved in hearing and therefore could interfere physiologically with the latter. There have in fact been case reports where nerve deafness has been found to be associated with anemia due to iron deficiency as well as that due to Vit B12 deficiency. Your case certainly merits investigation from that point of view. Then, considering your rather high BMI (36.91) which puts in the obese category one would also have to look at the presence of the so called METABOLIC SYNDROME of which high blood sugar is a part. If you do have diabetes then hearing loss secondary to diabetes becomes another possibility. The message therefore islook at the hearing defect holistically - both from the point of view of local issues (fluid in the ear etc) as well as more distant causes like anemia, diabetes and so on. Do write in for more info. All the best!
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What causes pain in the joints with cracking?
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I have been healthy except for the past 8 months I noticed almost a hard bump on my humerus. X-RAY and Ultrasound results for my upper left arm was negative. I also have experiencing joints and bone pain and joints cracking. I have been referred to the rheumatologist and after some blood tests my RF was negative but ESR=25. For the past month I experience some wired feeling like burning, tingling and light weakness to my left and arm. I avoid lifting heavy objects. Past two week ago I noticed a bump on my left forearm under my skin. It is hard and not moving. Today I felt the mass is bigger not moving and by pressing it my arm and hand started to slightly ache and burn.
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Hello,The hard lumps can be:- Bony swelling like osteoma- Some soft tumors like fibroma, sebaceous cyst may also appear like this.- Neurofibroma The joint pain with crackling can be there due to diabetes, gout, thyroid issues etc. You should get yourself completely investigated. Till then you should do following to have relief:- Take a mild analgesic like advil.- Eat healthy. Fresh fruits and vegetables are helpful. For joint pains and backaches pineapple has shown some benefits.- Take some joint supplements like collagen preparations for long time. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon
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Does Istamet have any side effect?
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Respectable Dr. Very recently after my check up doctor advised me to take Istamet 50 mg/ 500 Mg morining and evening.Just want to make sure, there is any side effect from this medicine.Many thanks for your valuable information With best regards XXXX YYYY@YYYY
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Hi,I can understand your concern regarding safety of the prescribed medication. Istamet is a combination of two medicines sitagliptin (50 mg) and Metformin (500 mg) commonly prescribed to treat type 2 diabetes mellitus. Generally it is well tolerated by most of our patients, however it may cause stomach upset, vomiting, diarrhea, cramps, hypoglycemia (low blood sugar) and rarely a serious condition called lactic acidosis. Continue taking it as prescribed and report any side effects.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
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What is the treatment for stuffed nose?
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Cough, dizziness, watery eyes, and stuffed noseI am 13, male, 135.6 pounds. My problem is that recently ive had a bad cough along with headaches, watery eyes, dizziness, and a stuffed nose. im not on any drugs. i was recently sick about 2 weeks ago, but since then, i feel normal. but all of a sudden, i got a bad cough. it then became headaches, and now, ive been dizzy all day. all these sypmtoms are currently happening. my family has a history of diabetes and cancer. my mom has cancer and my grandad has a bunch of other diseases including diabetes. my dad has glaucoma (sorry if i spelled it wrong) which is obviously an eye disease. my health teacher says it could be a nasal infection but that wouldnt make any sense, i dont think. but thats why i came to you doctor. oh, and i get medium exercise and i play videogames (mostly shooting)
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Take steam inhalation thrice time in a day.you can take cetrizine tablet once daily at night.it will reduce nasal congestion.
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What is the dosage of Acyclovir for Shingles?
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Most web sites say that the treatment for shingles ( herpes zoster ) may be acyclovir 800mg. 5 times daily for 7 to 10 days. Is 800mg. 4 times daily for 5 days adequate treatment for the shingles, and if not should there be a break in the dosage of 7 to 10 days?
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Hello and welcome to HCM. I read your question carefully and I understand your concern. In order to be more specific, I would like to know your age, if you have other chronic diseases (like diabetes for example) and what type of signs/symptoms do you have? Since you didn't write any additional information, I will try to be specific in a general way. I'm saying this because based in your general health, forms of outbreak and comorbidities the approach of treatment might vary. The dose of Acyclovir (if you are an adult) is as you said firstly - 800 mg 5 times daily for 7-10 days (without interruptions)In order to alleviate the symptoms you can try applying Burrow solution. Against itching calamine lotion is helpful. Consult with your doctor regarding pain management (analgesics, TCAs or anticonvulsants)I hope my answer was helpful. Wishing you a good health
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Period not coming still after Duphaston
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I am trying to get pregnant and this is my 2nd cycle of Clomid. My menstruation is not regular so my doctor gave me Duphaston...I was told that my mens would come w/in 3-5 days after drinking the said meds. it is now the 6th day and I am just spotting and/or blood just goes out when I take a pee and there s not much of it.. I am taking Metformin for my sugar and I am not polycystic. What can I do to have my period?.I really want to have a baby. I am 41 y/o, 5 2, 120 lbs. Liza
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Hi, First you have to look after two matters, 1,keep your diabetes under control, 2,regularize your period. After these two are alright chances of pregnancy is increased. As you are of 41 yrs you should proceed accordingly. Some time procedure of D and C may be helpful,for this you can discuss with your gynaec specialist. ok and bye.
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Suggest remedy for burning in thigh
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I have hot burning feeling in my thigh , sometimes at night it s so bad it wakes me I have to put a cold facecloth on it if I use the muscle in that leg it will get so bad that I can barely walk that pain will last about 20 minutes , but the burning feeling is always there , sometimes just more intense it s unbearable
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Hello,The symptoms seem to be related to a peripheral neuropathy. Damage to the peripheral nerves can cause a leg burning sensation. I suggest using anti inflammatory medications such as Ibuprofen to relieve the pain. I also suggest to check the glycemic level to exclude a diabetes.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
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Suffered renal failure after pneumonia. Have diabetes. Any advice?
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My uncle has been in the hospital for about a week he is admitted for pneumonia at first now that its gone the doctor stated that he has diabetis they placed him on several medicines and now my uncle has renal failure within a week and just yesterday they stated that his kidney are working at zero percent. I just dont understand how within a week that his kidneys ended up like this when the hospital ran tests his kidney was great so I'm connfused of what happen the didnt give us any answers I hope that you can give me more of a understanding as to what happen i have searching for a second opinion.
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Hello, Thanks for the query to H.C.M. Forum.Before any opinion following things to be clear.1. When he suffered from pneumonia,2. How many days he treated for pneumonia,3. Copy of treatment chart,4. Scanned photo copy of various reports,5. HB 1 A C level,6 Complete Ultrasound report of abdomen with kidneys.7. Present status of both kidneys.Hope I have answered your query.If further any question I will be happy to help. Good luck.Dr. HET
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Salty taste in mouth, dry lips. Negative diabetes test, normal cholesterol, no dental problems. Cause?
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Hi, I have been having a persistent salty taste in my mouth for a couple of weeks. My lips and mouth have also been dry and I have been drinking a lot of water. I went to see my physician who suspected I may have diabetis. The lab results came fine, no abnormal values. The only thing she said we need to monitor is my cholesterol level ( 170 I believe). I had a dental exam as well and my dentist didn't see any signs of gum inflamtion, etc. Also, I am not taking any medications that could possibly cause this. I am puzzled at the moment since I can't really figure out why I have this salty, sometimes metallic taste in mouth?!
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Hi, You have not mentioned your age and I would like to know if you are suffering froma ny gastric problem. Usually patients with gastric problems suffer from a odd taste in their mouth due to the gastric reflux. In such patients ayurvedic medications provide better relief for acidity problems and the odd taste in the mouth reduces. Regards
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Should I take Glyciphage for facial hair growth?
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HI,I m 23 year old female.I have facial hair growth(hirsutism).My doctor has just prescribed me glyciphage (metformin) tablets.However when i googled it,i found this medicine is used to treat diabetes.I m overweight but not diabetic.Please advise if i should continue with the treatment or not.
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Hello, You have a condition called Hirsutism which is a hormonal abnormality. Insulin Resistance is one of the common causes of it. Your doctor has correctly prescribed Metformin to reduce the Insulin resistance and help you with the abnormal hair growth. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Noble Zachariah, Internal Medicine Specialist
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Persisting tongue numbness at night, no snoring, normal blood sugar, thyroid. Taking multivitamins, vitamin b12. What could be the cause?
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i am a 32 year old female and my tongue has been going numb at night, i ve had a diabetes test done,my test result was 5.7, and a thyroid test which came out ok, but still in tongue feels numb when i wake up, i ve been taking multivitamins for over a week and vitamin b12 as well. the tongue numb seems to only happen at night. i dont snore either so i dont think sleep apnea is a problem
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hello thnks for cnsulting at hcm,Numbness in the tongue can occur due damage to the nerves supplying that area, interrupted blood circulation, pernicious anemia, vitamin B deficiency any recent tooth extraction??? Do you have accompanying symptoms like dizziness, light headedness, nausea, weakness in hands and legs, headache etc? What is your age? Do you have any other medical conditions for which you are undergoing treatment presently?Since all ur medicines r not giving u any relief .. plz take an opine with a neurologist for physical examination . Complete blood picture, lipid profile and CTscan of brain can help making diagnosis. hope it helps..
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How to treat hyperhidrosis with family history of diabetes, heart/eye disease?
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I am running 96 exactly. Have hyperhydrosis. I am hot feeling, aches and joint pain. Has been for the last three days. My family has history of eye problems, diabetic (both grandpas) and heart disease (great grandma). I only have eye problems. On nuvaring currently. I took two advil several hours ago.
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welcome to hcm ...family history does not mean that person will be having disease ..you have to undergo tests for these diseases as BP ..sugar level ..ECG and then eye examination to diagnose or ecclude your condition ..you have mentioned that you have eye disease but what eye disease ..please see local doctor he will see whether eye disease has something to do with hyperhidrosis ..for hyperhidrosis you should see the skin specialist ..on precautions avoid salty foods and spices ..you may need antipersipirants ..
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Are there good chances of recovery after an open heart surgery while suffering from diabetes?
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My husband was admitted today with afib. The Dr said the top of his heart was racing to fast and the bottom could not catch up. He has had open heart surgery and apacemaker since October of last year. he is 82 and diabetic. Are his chances of recovery good?
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Hello!Welcome on 'Ask a Doctor'!Regarding your concern, I would explain that his symptoms could be related to atrial fibrillation. I would like to directly review his cardiac ultrasound and ECG report in order to give a more professional opinion. Hope to have been helpful!Wishing good health, Dr. Iliri
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Could diabetes and kidney problem cause lightheadedness and fatigue before passing stools and urination?
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Hello. Prior to having to go to the bathroom, #1 or #2, I feel light headed, tired, fuzzy headed, lack concentration. I was diagnosed with diabetes and have a kidney that functions at about 50%. The other kidney is normal. Any idea what causes such symptoms?
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Hi and thank you so much for this query.I a so sorry to hear about these symptoms that you have. These symptoms are not caused by either diabetes or a kidney disease. If you often get out of your seat suddenly, it may be the cause of this as there is a sudden change in blood pressure that maybe able to explain these symptoms. I will suggest that you get out of you seat slower and see whether there would be any change or not.I hope this addresses your query fully and provides enough information for you to act on. Feel free to ask for any clarification or more information if needed and I will gladly respond to.Thanks for using our services and I wish you well.Dr. Ditah, MD.
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Can diabetes cause elevated MPV levels?
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dear sir, i am having MPV of 14.2 fl . is it a worrying one and what it indicates? how can i bring back to normal level? by lifestyle change or with the use of medicine? i m a diabetic since 2001 and having fair control. is it cause this elevated MPV ? request you to reply.
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hi sir good afternoon.you are having mpv of 14.2fl is nothing matter.most worrying thing is not to think about mpv.It will be reduced by lifestyle changes and medicine intake both.please take help of yoga even.you will recover soon
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What does intense pain in leg and groin after cramps indicate?
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I m a 56 year old man, in poor health with type II Diabetes, Hi BP. Severe depression & take about 10 or 12 different meds, I just had an attack of cramps that started in my left leg & then moved to my right, the pain intensity was like nothing I have ever experience in my life!!!!!!!!!!!!!!!! it lasted about 10 min. I took 500 mg of niacin, I chewed up a valium & swallowed another one whole, I drank about 30 oz of water with 1/2 tsp of salt I chewed up 2 325 mg timed relies aspirin & took another whole one. I kept my legs moving while standing & holding onto a counter & the pain passed about 5 more min after taking the above pills. I still have residual pain in my groin while sitting here at the computer, about 10% of what it was at it s worst. I may of been a little dehydrated. Any idea what the hell just happened to me? Gary
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your leg cramps might have been due to serum electrolyte level abnormality. the patients who have high bp usually remains on low salt diets that may cause disturbance in blood electrolyte levels and cause sudden sever leg cramps which relieved with taking salts with water.To avoid these symptoms again take ample water and balanced salt diet. and tab. carnitine may help to reduce these symptoms again.
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What is Micro Vascular Ischaemic disease causing depression and high BP?
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what is Micro Vascular Ischaemic disease? is it causing the high blood pressure and depression? 78 yr old male with previous By pass( 6 blocked arteries in 1987) non cancerous tumours in back of head twice at age 20 and 40. Taking Diabetic meds and prostate meds.
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Hi ThereMicrovascular ischemic disease describes areas in the brain where tiny blood vessels have ruptured or clotted off causing limited blood flow in certain areas.Yes it can cause high blood pressure as well as congnitive impairment causing depression and sometimes diabetes also.Its advisable to continue other meds as prescribed.Good Luck
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Suggest treatment for high appetite, low energy levels and drowsiness in children
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My son eats constantly but never seems to get full. He has several BM a day that are very pungent. He has lost a lot of weight very rapidly. He has gone from over 200lbs to about 150lbs maybe. He sleeps most of the day and does not have the energy to due anything. He is a diabetic and his sugar level have been very high. He does not have PCM.
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Is he taking any medicines for diabetes? Is he being followed by an endocrinologist or any other physician who is expert in the treatment of diabetic patients? He must have treatment immediately or else he could fall into a diabetic coma. Take him to the nearest hospital ER.After the acute condition is properly treated, I strongly advise you to find a physician who is an expert in diabetes care for your son. If you live in the USA, contact the nearest center of the American Diabetes Association who will provide you with the names of doctors who can help your son.If you reside in another country, contact a large hospital and ask if they have doctors who care for diabetic patients. Please, start acting as soon as you can for your son's sake. Come back to us after his diabetes is fully treated. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Arnold Zedd
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What causes thin flaky scabbing at the tip of penis?
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Hi i have some really thin flaky scanning right around the tip of my penis, by the urethra. At one point it was itching a lot and there was a bit of yellowish odorless discharge but now that s gone because i have been drinking a lot of water and orange juice. I thought it was a UTI and now i want to know if there s still anything wrong. I believe that it might have happened because my girlfriend and i have unprotected anal sex. There is a slight ticklish itch along the inner urethra but there is no burning and no more discharge. The scanning is very minimal and the itching isn t that bad either.
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HelloI share your concern Looking at your description it might be related to infection, Local allergy or an injury or inflammation during anal sex I would like more information.to help you better likeSince how long you have this problem?Relevant medical history like diabetes or other metabolic disorder ?In my opinion you should consult a dermatologist for physical examination and series of investigations to establish a diagnosis like urine culture and sensitivity test and routine blood profile.You may require a course of antibiotics under supervision of your doctorMeanwhile have plenty of fluids Maintain good hygieneAvoid sex or use condom until it heals completelyThanks for your questionWish you good health
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Had D&C for polyp removal. Irregular periods after surgery. Will I be able to conceive?
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Hi there I need to know an answer or somthing that can help... please.... I had a D&C for polyp removal an scrapped feb 18, 2010 and before that my cycles have always been regular, It s now 3 years later and after that surgery my cycles have been irregular and really off . please be honest I m wondering if I can concieve
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Hello, I would be happy to help you with your question. My assumption is that before the polypectomy, your cycles were irregular, or you were having irregular bleeding. A D&C is limited in terms of its ability to completely remove polyps that might be present. It is my opinion that you need to be re-evaluated for regular bleeding, and this evaluation needs to include re-evaluation for polyps. This would include labs to check for thyroid dysfunction, prolactin levels, diabetes screening, labs related to PCOS, and an ultrasound called a sonohysterogram. Only then can one make a guess as to whether you will need assistance to get pregnant, or whether this will happen on its own. Do not give up hope!! I hope that this helps and good luck!!
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What care should be taken for diabetes and pulmonary hypertension?
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I am a 55 year old black male recently diagnosed with Pulmonary Hypertension and have been on blood pressure medication for over 20 years. Have had nuclear stress test done with low ejection fraction of 32%, angiogram was done but no major concerns. I am tired and fatigued even with very little exertion. Also diabetic on an insulin pump, VA seems to be giving me the run around, and I am concerned my condition is getting worse?
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Hello, For pulmonary hypertension, the drug used is bosentan. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Varinder Joshi , General & Family Physician
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Which specialist should I consult for Morton s neuroma?
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What type doctor do you see for possible Morton s neuroma or neuropathy? Toes sensitive, feels like wadded up rag under ball of feet, small area between big toe is semi numb. feet burn often, mostly at night - also itch on top of feet. Have no classic symptoms of diabetes, rarely drink wine, was addicted to chocolate, stopped because was told that could flare arthritic gout. 77 yrs old, problem started year ago, thought it was stone bruise, obviously not. Also was bitten by fire ant on top of foot yr ago, itch feels almost the same still but not constant.
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Hello,Please consult an orthopedic surgeon specializing in foot problems that is a podiatrist. Morton's neuroma is a condition, in which the small nerves present in between the toes get entrapped when you wear tight footwear at your age, I would suggest you wear a well cushioned soft footwear. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Santosh S Jeevannavar
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Have herniated disc and bulging disc. Pins and needles in scrotum, legs, and cheeks
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Hello, I'm 47 with a 5 yr old L4L5 herniated disc and an L3L4 ? bulging disc.Two hours into delivering my route this morning, my scrotum, legs and both cheeks started with pins and needles. It didn't go away for several hours. i did not continue my route when this started. i'm finding that even lying down, the pin and needle sensation still comes and goes.
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DO U ALSO HAVE ANY HISTORY OF DIABETES.KINDLY CHECK ONCE.PINS N NEEDLES MAY ALSO BE DUE TO L3 L4 , L4 L5 HERNIATED DISCS.KINDLY CONSULT A NEUROSURGEON N IF NEEDED HE MAY ASK FOR A MRI LUMBOSACRAL SPINE.
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What is the cause for heart palpitations and cold sweat every morning?
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Hi, I've been wakinh up at 3am (Sharp) every morning for the past 2 weeks with heart palpitations and cold sweat without being able to fall back alseep.... what can be the cause of this? I have a few things in mind, but I've learned to relax during the evening but this still happens once I go to bed. What can help?
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Hi,I want to know-1) Your age, gender.2) Presence of diabetes, high blood pressure, cholesterol problems and treatment for it if any.3) Habits like smoking, alcohol.4) Presence of mental stress if any.5) Whether you can sleep well till the start of symptoms.6) Any associated chest pain, breathing difficulties on minor exertion.As you have to wake up from sleep at night you should not neglect it.There might be following causes 1) Anxiety: if you are not able to sleep in night due to any mental stress (you have mentioned as "few things in mind") anxiety is more likely.2) Hypoglycemia (Low blood sugar level) this may happen in patients with diabetes on insulin treatment (particularly with intermediate acting insulin).3) Heart problem (Cardiac arrhythmia or heart attack): if associated with chest pain (though in diabetic patient chest pain may be absent).So I will advise you to consult cardiologist and get done clinical examination.Following investigations may help in excluding heart problems:1) ECG.2) 2DEcho of heart.3) Electrophysiological study of heart, Holter's monitoring.4) Blood tests for cardiac enzymes like CPK-MB, Troponin I/T.5) Stress test.If you are not a diabetic and all above tests are normal then try relaxation techniques and consult psychiatrist.
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What are the symptoms of microvascular disease?
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Thank you, my aunt (72) just recently had a CT scan of the brain which showed signs of microvascular disease. She also is complaining of her body jumping while she is asleep. She is not a diabetic but does have eczema. Are the body jumping symptoms r/t the microvascular disease?
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Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that body jumping is not a typical sign of microvascular disease. Microvascular brain disease is usually related to chronic uncontrolled hypertension and diabetes. It can lead to small strokes or progressive dementia. But it can be a sign of seizures or a sleep disorder. Coming to this point, I would recommend performing an EEG to exclude possible seizures. Hope you will find this answer helpful!Kind regards, Dr. Iliri
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Suggest treatment for urinary incontinence , diabetes and fever
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My husband, age 65, has diabetes and on the cusp of 4th stage renal disease. He had to get up to urinate more last night than usual. No pain. Woke up, had fever 99.4-100.4 and blood sugar was 179. I sponged him down and gave him lots of fluids and brought his fever down. Now at 6:30 he has chills and fever again. Any ideas? He doesn t seem to have any respiratory problems, outside of the chronic COPD.
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Hi, Thanks for your question. I feel really sorry after going through your question. Most likely possibility in your husband is urinary infections. You should consult your doctor immediately. There is need for - 1) Detailed clinical Examination. 2) Urine Examination along with urine culture. 3) Blood tests like Complete haemogram, Renal Function Test, Liver Function Test, Serum Calcium, Magnesium, Phosphates. 4) Ultrasonography of abdomen and Pelvis. 5) Cardiac evaluation. 6) Blood sugar monitoring. 7) May require Insulin for better Diabetes control. He may require Intravenous Antibiotics with close monitoring of renal functions. Monitoring of respiratory function is also important as his COPD may complicate his recovery. Hope this helps you, if so do vote.
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Suggest treatment to delay the damage caused by last stage CKD
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Hi, may I answer your health queries right now ? Please type your query here...my mother has been diagnosed with stage 4 ckd.we are shattered and devastated as she already had a heart bypass surgery done in 2009.she is also suffering from diabetes,bp,thyroid.she is 92 kg and 65 yrs old.her cretinine level is 4.43 and urea is 125.what can we do to delay further damage?please help.
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To delay the further damage - most important is the strict control of BP and diabetes. Follow cardiologist advice and strict adherence to cardiac medications. Salt and fluid restriction. Avoid pain killers and other drugs that can damage kidney.
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How to get rid of infection in scar area?
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thanks sir, before 7 months ny wifes had overian systectomy (open) in apollo hospital dhaka, she got infection on the scar area after 1 months from the operation, after that till now discharging the scar area and cillection also there and sinus tract also there, all diagnosys results following skin TB, she is taking TB drug from 2.5 months till now getting collection and sinus tract. we want your comments and if we want to move her in kolkata, india which hospital is the best.
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Hi sorry to know she is still suffering even after 7 months of a surgeryIt's an infection only get her blood sugar tested to rule out diabetes I would suggest you for skin biopsy of the scar to for histopathologyi would be better option if you shift her to kolkata because patient care and clientele satisfaction is good thereHope this helps you good luck
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What causes bulging and swelling of veins,feet and toes usually in the evenings?
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Hi. In the morning, I rarely have an issue, but in the evening (by 3-5pm and after) all of my arm and leg veins are bulging. There is also change in color from pink to red and swollen feet/toes. I wake up with numb limbs throughout the night very frequently but have not been diagnosed diabetic, vein disorders nothing. I will drink more water but don t know if it would make it worse. I recently quit smoking after 15years, if that helps form an opinion. Thank you. Jeanie.
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hi,thank you for providing the brief history of you.A thorough neuromuscular assessment is advised.As you have bulging of veins and also numbness of limbs a thorough neuromuscular assessment is advised. Post which we need to understand the blood sugar levels and also the venous insufficiency.You may be advised later to undergo a Doppler of veins to rule out any venous insufficiency , also and NCV test will help reveal the functions of the nerve.As with increase in the high blood sugar levels there might be deposition if sugar on the nerve and lead to numbing effect.As you were a smoker for 15 years and now have diabetes there might be a possibility of venous insufficiency. In either cases, physical therapy and some simple exercises symptoms will come under control and also on long run performing exercises will help you to control the sugar levels and also the numbness.RegardsJay Indravadan Patel
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What causes left and right abdomen bruises with pain?
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wHAT WOULD CAUSE A LARGE BRUISE ON LOWER LEFT ABODOMEN. VERY PAINFUL. BUT TODAY WAS A SLOW DAY AND I DO NOT REMEMBER HITTING ANYTHING! MUCH SMALLER BRUISE ON LOWER RIGHT, NOT AS PAINFUL. I AM 64, HAVE TYPE II DIABETES AND Parkinson s, BUT WORK OUT EVERY OTHER DAY AND CONSIDER MYSELF IN GOOD HEALTH (OR THE LAND OF DENIAL)
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hello,thank you for your query,most common cause of this condition is due to trauma..but as you have no history of that i think it is due to the medications u r using now..please send me the list of drugs you r taking and do a platelet count,PT,INR report...also consult your physician with those..hope this will help you..have a nice day ahead..
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Suggest treatment for pain in my right elbow
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I have type 1 diabetes for 44 yrs now. about 5 weeks ago, my left elbow started aching me. the second weeks the sole of my feet started aching. now in my 5th week my shoulders and neck is aching. mostly when in a position against gravity, if I hold my arm up it is does hurt as much. do you believe this is what this medication is for?
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Hello,The symptoms seem to be related to cervical radiculopathy. I suggest using anti inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest to mamin the arm immobilized to prevent further damage.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
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Kidney Panel tests showed high Uric Acid, creatinine level, have hypothyroidism. On thyronorm. Is it okay?
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Dr SamuelMy Kidney Panel tests show high Uric Acid & Creatinine levels.Uric Acid in the last 4-5 months is in the range 4.8 - 7.3 and Creatinine in the range of 1.09 - 1.22I am 36 years old and have an active lifestyle. My lipid profile is normal & no history of diabetes or heart disease in family.I was diagnosed with Hypothyroidism in January and have been on a dosage of thyronorm(50 mcg).My last reports are: Uric Acid -4.8, Creatinine-1.25(IDMS),TSH59got a renal scan done -GFR -75.4.
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Hello.Your latest reports of uric acid and serum creatinine are within normal limits. You have not mentioned your drug history, but uric acid can be controlled through a strict diet as well.Your TSH is still high and thyronorm 50 mcg should do just fine. Repeat the test to check on your TSH in 3-4 weeks to observe a response of the medication and to see if you are improving. Everything else seems fine for now.Hope this helped.Take care.
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How to regulate high systolic pressure without medications?
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I am a 57-year-old Asian woman. I am 156 cm tall and underweight at 84 lbs. I don't smoke nor drink alcohol. I don't eat food that contains much salt, sugar or fat. I walk in total about 1 hr. 10 mins. daily. My mother, 80, has hypertension, diabetes and osteoporosis. My diastolic blood pressure is OK, most times in the 60s and sometimes 50s and 70s. However, I just noticed in November 2011 that my systolic blood pressure has gone up a lot. In the previous months April to October 2011, monthly readings were 120s and twice 130 (last reading before Nov was 127 on 10/10). Since 1 Nov I have been taking readings daily and they were mostly 140s and 130s, and low 150s a few times, and even 161 once. I suspect that my high systolic blood pressure is due to hardening of my arteries from old age and/or heredity. It seems that my lifestyle is OK. Is there any way to lower my systolic blood pressure apart from taking medication ?
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Hi,welcome to HCM..Thanks for writing to us.First of all,i would like to say that,please don't be obscessive about the blood pressure.At your age if you measure the BP once in a week,that is enough. Now, coming to the point of lowering the blood pressure by non pharmacological methods,you may follow the following:1.Go for some daily workout, preferably some brisk walk in the morning.2.Have salt restricted diet and avoid raw salt intake.3.Have fat restricted diet.4.If there is any associated health problems like diabetes , thyroid problem or insomnia , seek the help of your doctor.Hope i have answered your queries.Stay fit and good luck.
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Does a fasting sugar level of 137 mg/dl indicates diabetes?
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Thank you. I have been taking prednisone for 5 months to treat PMR. (taking from 125 mg down to 16.25mg at present) I recently noticed that I had increased thirst so asked my doctor to take a blood test. My glucose fasting test result was 137 mg/dL. Are there other tests I should take, and does this mean I have diabetes. My doctor does not seem too concerned.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. A fasting blood sugar >=126 mg/l is suggestive for the diagnosis of Diabetes Mellitus. The long lasting therapy with glucocorticoids like Prednisone can cause Diabetes. If you were me patient i will suggest to repeat a fasting; 2h after the meal blood sugar and HbA1C test. These tests will confirm the diagnosis and than you can have the right treatment for this diagnosis. Hope I have answered your query. Let me know if I can assist you further.
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Had quadtripple bypass, colon cancer, removed colon, have cops, diabetes, ankels and calves swelling, leg oozing a clear liquid. Cure?
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HELLO DOC...I HAVE HAD QUADTRIPPLE BYPASS ABOUT THREE YEARS AGO, AND STAGE THREE COLON CANCER ABOUT A YEAR AND A HALF AGO....THEY REMOVED 32 CENAMETTERS OF MY COLON...I HAVE COPD AND I HAVE TYPY TWO DIABETIS....NOW MY ANKELS AND CALVS ARE SWELLING AND MY ANKLES ARE TURNING WHITE..AND TONIGHT MY RIGHT LEG STARTED OOZING A CLEAR LIQUID..THE BOTH BURN AND HURT ALL THE WAY TO MY BUTTOCKS AND I CANT WALK JUS A LITTLE WAYS AND I HAVE TO SET DOWN...COULD YOU TELL ME WHAT YOU THINK IT MIGHT BE ??THANKS.....DARREL.....
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Hi, Sorry to hear the condition. The exact cause can not be interpreted by this information. Anyway in case of poor diabetic control many a time ulcer developed at foot. This is a common phenomenon. Consult your doctor, if any infection found then culture sensitivity will be done and antibiotics will be prescribed accordingly. Other measures like foot elevation will be helpful. Consult your doctor.
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What causes pain and burning around the ears in child?
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My 11 yr old daughter was brought to dr and ent. No one can figure out why around the ear area hurts her and burns. They said it is not red or infected, no bites and that it looks fine. She isnt complaining about her teeth, so it cannot be that. But she is in pain crying saying that her ear burns. What do you think? Tylenol and IB is not working for the pain.
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Hello, First We should exclude facial nerve palsy because it has the same symptoms in its earlier stage. Second, the viral infection can cause these symptoms and the treatment is antiviral drugs. Finally, I would like to know about your daughter"s health, for example, has she got diabetes or any other immune disorders. To relief the pain she needs Carbamazepine CR 200: half tablet three times per day before meals then one tablet three times per day before meals until we treat the underlying cause. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dr/Mustafa, Pediatric Neurologist
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Can I discontinue glimepiride, gliclazide, metformin causing side effects?
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Hi, I am bal. I have diabetes for past 10 years. At present my blood sugar is around 130/200.Allopathik medidicines glimperide,gliclazide,metaphormin etc. does not suit me resulting in sever stomach problem, headache , weight loss etc. Finally I have to discontinue the medicine.Pl. advice me what to do.
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HiKindly continue the treatment for proper blood sugar regulation.With diet control and physical activity , dose and number of drugs can be reduced in the following months.Metformin commonly causes abdominal discomfort.Inorder to reduce the discomfort,it can be taken after food.Other drugs mentioned,should be taken after food.Hope that was helpful.Let me know if i can assist you further.RegardsDr.Saranya RamadossGeneral and Family Health Physician
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Suggest treatment for a stomach flu
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Hi there. I had a bad stomach flu a month ago then a chest infection which lasted 4 weeks. I'm just over it. The last week, I put drops of oil of oregano under my tongue which helped but also stung. Last week in that place under my tongue,I developed to open (canker) sores. The sides of my throat have been tender. Yesterday my tongue was coated white. Today I have bumps along the side of my tongue and two of the sores under my tongue have black pin dots in the middle...painful. Any ideas would be most helpful. I'm concerned it's cancer. I haven't smoked for 12 years. I get canker sores a few days after I drink coffee (rare)or eat chocalate (occasional) I am female 62,5'7" 138lbs. I take 1-2 percosets a day for5 herniated discc a a spur, wellbutrin for depression. I lost both parents last year, an in December I was a caregiver for a dear friend who ha pancreatic cancer. I feelpretty low in spirits and energy. Hi, may I answer your health queries right now ? Please type your query here...
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HI, thanks for using healthcare magicIt is understandable to be concerned but it may not be cancer at all..The canker sores may be simply due to irritation of the tongue from the caffeine. Can also occur if the immune system is impaired for any reason eg infection, diabetes, side effect of medication eg steroids or any immune suppressants.You may want to consider blood tests such as complete blood count and ESR. These would look for infection and would also determine if more dangerous conditions such as cancer , are present.ESR is a non specific inflammatory marker meaning it goes up when there is any inflammation in the bodyI hope this helps
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What causes itching on penis tip when had UTI recently?
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hi doctor Recently I had a UTI. After taking antibiotics there was itching on my penis ip. So the doctor gave me Hydrozole. After using it for 10 days the irritation minimised but was still there so I used Kenacomb Ointment. Suddenly after 3 days irritation doubled. So I asked my doctor he told to discontinue Kenacomb and used Hydrozole for 5 more days. But I think there is no fungus and rashes have developed on my penis tip(due to acidic urine). Should i use Boroline or is it some bacteria or fungus on my penis tip?
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HelloI appreciate your concern Apart from UTI or bladder infection urgency and increased frequency of urine can be caused by prostate enlargement in men and cervicitis in women and diabetes in both the sexesI would like further information to guide you betterYour age Sex and relevant medical historyhave you ever had similar complaint in pastStill i would advise you for urine culture a.few sensitivity test of not done until now or an ultrasound of lower abdomen and pelvis Have plenty of fluids you can take anti allergic drug like levoctorizine with alkalisation of urineyou can apply any antiseptic or antibacterial ointment like muupirocin, boroline can be usedThanks for your questionBest wishes
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Suggest treatment for kidney stone
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my mother has developed kidney stone at right kidney,which is 40mm size.medicines(zurig40mg&portrate mb6) has been using from last 2 years,but no result. what is the best treatment for it? which doctor shall i consult? blasting is neccessary for it? she has sugar& BP also,her age 52 yrs.thanking you...
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HelloThanks for query .Your 52 years old mother has been detetced to have stone of a size of 40 mm in her Right kidney .Considering the size of the stone being 4 cm in size Extra Corporeal Shck Wave lithotripsy (ESWL) is not possible in her case .The only best treatment option for her is to get the stone fragmented and removed by a procedure called Per Cutaneous Nephro Lithotomy (PCNL).This surgery is done by a well trained qualified Urologist under spinal anesthesia and she has to be hospitalized for 3 days .Diabetes and hypertension that she has will be taken cared of by a team of physicians .Dr.Patil.
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Suggest treatment for cortical cyst in kidney
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My father has recently been operated to remove right kidney because of suspected renal carcinoma and the tumor size was very big. Now he is detected with cortical cyst measuring 14 x 13 mm on the left kidney. Is there any thing to press the panic button?
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Good Day and thank you for being with Healthcare Magic! Simple Renal cortical cysts are benign conditions and doesn't warrant any treatment or intervention. The cyst of your father is very small and would not transform into a cancer 99% of the time. I would suggest having him drink 1.5-2 liters of water and avoid pain medications. If he has hypertension or diabetes then he should ensure they are well controlled to take care of his remaining kidney. FFUp with ultrasound to monitor the cyst is advised together with biannual urinalysis and serum creatinine determination. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes.
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Has stage 4 brain cancer. Got diabetes, BP, pitted edema. Any problem with kidneys and liver?
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I am just trying to learn more about pitted edema. My brother has stage 4 brain cancer and is not going to make it long. He is also a diabetic and struggles with his bp. His pitted edema is so bad that he is currently in a wheelchair and they are bringing in a hospital bed in 2 days, does this mean that his liver and kidneys are going as well?
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Hi,Thanks for writing in.I am sorry to hear about your brother.Diabetes is known to affect the kidneys, eyes and nerves in most diabetics as a chronic complication. The kidneys can also be affected by drugs used to treat cancer. Same holds good for the liver too.Pitting edema is caused by fluid retention due to heart or kidney disease. Please have a discussion with the treating doctor on the kidney and liver function tests. Check his urine output regularly.Liver disease is suspected if he has jaundice.Kidney function tests are:Serum creatineBlood ureaLiver function tests are:ASTALTAlkaline phosphataseBilirubin (total, direct and indirect)Hope this helps
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Suggest remedy to relieve pulmonary valvular congestion and asthma-like periods
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i had pnuemonia and developed in to bronchitis and then diferent doctors said i also had asthma, i was put on calcort a steroid and onglyza for my diabetes, and then i went to see a lung specialist who was an internist and cardiologist because after 20 days i wasnt doing any better. new doctor in nuevo laredo mexico tried to put me in the hospital because i was exhausted and short of breath after parking far from office for appt. he did ekg , doctor wanted to do angioplasty and i said no, they gave me a shot in each arm, gave me 3 sublingual isorbid, gave me prescription of isorbid 10mg, micardis 80mg, plavix 75mg, miccil 1 mg, adactone, 100mg, and inhaler seretide 50/500 (this one i did not buy). then i went to emergency at christus santa rosa hosp in san antonio,tx, they did xray and radioactive imaging and adenosine myoview stress test. i did ok on stress test. the imaging showed i had pulmonary vascular congestion, cardiac size was hard to determine the inspiration was shallow and xray results statements were similar. what am i looking at. hosp discharged me and instructed to take all but plavix. i have trouble breathing when i lay on my right side. will i be having a heart attack soon. i cant get rid of the congestion, i have frothy white phlegm and i have periods that are like asthma attacks. i dont know what to do any more espeacially without insurance
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Hello.I am sorry for your situation.As you well prescribe you are under treatment for cardiac problems,bronchial asthma, diabetes and pulmonary congestion.I think the treatment you are taking are the right ones.Sometimes there are several cardiac diagnosis that interfere in lungs causing pulmonary congestion.If i were your doctor i will add in your treatment some diuretic medication to help the heart to pomp better the blood in the peripheral regions and the lungs not to be overloaded.I wish you all the bestDr.JolandaPulmonologist
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What causes elevated SGOT and SGPT level?
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Dear sir, I am diabetic but all results are satisfactory- fasting sugar-118, tryclycrdies : 126 , cholestrol : 126, But by SGPT is 102 & sgot 90 which was 70 & 62 in last week of march , now my doctor is saying to go for insulin , i am very tense, he has referred me to gastroentrologist.Now i am taking glycomet GP 2 for diabetes & has prescribed udiliv 300, in past it has controlled level of both SGPT &sgot , i am tense , please guide
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Hello, Thanks for using Healthcaremagic. I had gone through all the data posted. your sugar levels are under control. elevated liver enzymes is called hepatitis. we need to search for the cause of Hepatitis. common causes includeviral hepatitis, alcohol induced, Non Alcoholic steatohepatitis( NASH) etc. so we need to do viral markers like Hep B,Hep C. get a ultrasound done to look for echotexture of liver, spleen size and portal vein blood flow direction. common these days is NASH, more common with diabetes, obesity, hypothyroidism. there is no approved drug therapy for this but Udiliv can be given and main is therapeutic lifestyle changes like weight loss, regular physical exercise, avoid oil foods.Hope this helps..
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What does the uric acid level of 7.2 mean?
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51 year old male, asian, type 2 diabetes mellitus for 18 years now, taking metformin 500mg tablet 3x/day, glimeperide 2mg tablet 30mins before breakfast once a day. fasting blood glucose is 164.3 mg/dl, serum creatinine is 1.4 mg/dl, uric acid 7.2 mg/dl all taken last july......what do my lab tests mean?....is my kidney failing?
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Dear Sir, Hi & Welcome.Serum uric acid level is slightly raised.For a 51 years old male, the normal uric acid levels are 3.4-7.0 mg/dL. As per the results of the blood tests given in your query, you seem to have uncontrolled diabetes (HIGH fasting blood glucose of 164.3 mg/dL) despite of taking Metformin+Glimepride and renal (kidney) impairment (slightly high creatinine of 1.4 mg/dL & slightly high uric acid of 7.2 mg/dL). So, these findings are suggestive of renal impairment due to uncontrolled diabetes. You need to consult your treating physician for the effective treatment of diabetes mellitus to prevent the complications like kidney failure.Hope the suggestions given above would be useful.
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Blood test showing high cholesterol levels and CKD. Advised to take statins. Side effects?
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Following a visit to my GP yesterday following a high cholesterol reading from blood tests, he has advised I am at Stage 3 in CKD and that I should take Statins, firstly I was alarmed because I had never been told I was at Stage 1 or 2! and secondly I have heard such adverse reports of people on Statins I am very scared to take them. How can I have reached Stager 3 without prior knowledge of stages 1 and 2?
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HiThanks for the query.Do you have diabetes or hypertension?CKD is often is asymptomatic in the initial stages and diagnosis can be reached only by blood/urine tests.Statins are given to control blood cholesterol levels. Like any other medication they can cause adverse effects in a small percent of people taking them. Thus it has to be taken under the supervision of your physician.Hope this helpsGood luck.
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I can`t move my left leg due to neurological problem, what can improve my condition ?
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Dear Dr., I am a male in gender and 64years of age and a neuro patient during one year,now I can`t move my left leg and can`t sign with right hand . I visited Dr.Trishit Roy( Neurologist at kolkata)privately and continue his prescribed medicine Tab.-TRIGABANTIN-300 and under test- MRI but reports are normal(as Dr. said) and I am under physiotherapist daily also but no improve any.May you suggest something for improvement? thank you, BIMAL PODDAR
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Hi, Bimalji, Thanks for query, From your history I don ot get any idea about about any illness in the past causing this problem. Long untreated blood pressure or uncontrolled diabetes might have caused some damage to your brain leading to paralysis or hemiplegia resulting permanent disability. Physiotherapy and regular treatment from your neurologist is very essential to prevent further damage and disability. ok and bye.
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Lichen planus on skin. High cholesterol. Ultrasound report- normal. Is she suffering from Hepatitis C?
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hello my mom is 46 year old she going through lichen planus on her skin her cholestrol is high and no diabetes here ultra sound reports were normal today and her blood reports wud be available tomorow i want to know that can i know that my mom is no suffering hepaptitis c? m very worried i wonder how am i gonna spend my night
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Hello, Thanks for the query H.C.M. Forum. Lichen planus is a different thing. Without any reports or without any symptoms, how it is possible to predict any disease. Hepatitis have different symptoms , so either upload reports or mention symptoms. Good luck. Dr. HET
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What are the chances of conception while having PCOS?
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Hi I have went to the doctor because I'm trying to conceive and I've got sad news that my eggs are not releasing. I would like to know if I should give up the hope of becoming a mom or is there hope that there is something that I can do that will guarantee me that I will get pregnant. And also is my condition a very bad one?
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Hi, Thanks for the query. I have read & understood your query. PCOD is a menstrual problem where ovulation is disturbed & so the menstrual cycle remains nonovulatory & irregular, thus posing a problem in conception. This problem is seen more frequently these days being maily a prpoblem due to life style changes. * Still you need not worry, it's methodical management can reduce it's bad effects like infertility/ diabetes etc. To start with detailed physical examination / investigations ( CBC, Thyroid function tests, USG with ovulation study, hormonal estimation, insulin resistance test )The treatment plan is then decided - - Weight reduction ( regular exercises/ low calorie diet, are advised. a small amount of weight loss can correct the hormonal imbalance . Leaving smoking helps. - Hormonal imbalance can be controlled with Cyclical oral contraceptives. - Medicines like Mertformin, Clomiphene are tried to stimulate ovulation - If nothing helps, surgical drilling of ovaries is done. * For this you should approach a gynecologist & after pathological tests. follow her instructions . You will get positive results. Thanks.
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What is the treatment for bad staph infection , shingles and depression?
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For the last approx 3 years IV had no energy and have suffered from depression I had shingles a few months ago and then got a really bad staph infection all over my body in all my pores now its all coming out of my body in seeds I m feeling better than IV felt in years could staph have been dormant for this long and would it be the reason why IV felt run down for 3 years?
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Hello,Welcome to HCM, The shingles or herpes zooster can remain dormant for many years in the nerve root ganglion. Following the herpes infection the virus will resides in the ganglion. Whenever there is s triggering factors like other bacterial infection, dust,diabetes medicines or malnutrition which decreases the body immunity, the herpes virus gets activated and produces its symptoms.This could be due to staph infection which you had and which as stimulated the dormant herpes infection and produced these symptoms.Because of frequent infection you are having this features of depression. Once your symptoms comes down you will be alright. You need to boost up your immunity by having good nutritious food and vitamin A and E.Thank you.
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How can stiffness and cramps in the hands and knuckles be treated?
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Hi, my name is Pete and I just turned 60 at the end of March. At this very same time, I began feeling stiffness and cramping in both of my hands between the knuckles. At night it feels like my fingers are locking up in a closed position. My doctor told me to drink some Gatorade or maybe even trying a magnesium supplement. I am on medication for diabetes. The Gatorade is not working and my left hand is worse than the right, especially my ring finger on the left hand. I would appreciate your input. Thank you!
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Hi, It can be an early sign of arthritis or might be simple pain due to contusions. Anyway, you can take analgesics like Acetaminophen or Tramadol for pain relief. If symptoms persist, better to consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further.
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What are side effects of coveram?
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I have type one diabetes and also recently have been diagnosed with high blood pressure. Since starting in 5 mg of coveram have been feeling funny like anxiety. Is this a common side effect. Could it be the combination of I sulking and medication.. I am on an insulin pump. Thanks. Richard
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Hello,Coveram is combination of two drugs. Perindopril has effect of mood swings or funny turns which is unusual. I will suggest you to change this drug of you cant tolerate it.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist
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What causes high triglycerides and cholesterol in a child?
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My son just turned 12 on Nov. 22, and is 200 lbs. and 5 10. His triglycerides were 419, and cholesterol was 215. He basically gets no excercise, diabetes runs in the family. But, still, even though many people never exercise, but they don t get triglycerides that high. How worried should I be? Could it be diabetes? Could he have liver problems? Tell me what to do.
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Hi, It is right to be concerned. Your child has both hypertriglyceridemia and high cholesterol. It is worrisome. Your child had more weight. You have to take him to a dietician and get proper diet charting. He should lose weight. Also, he should have adequate exercise playing games as children of his age. This would help immensely. Also, he should be looked into familial hypertriglyceridemia and other disorders. His full lipid profile should be investigated. Take your child to an endocrinologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Vrukshal, Pediatric Critical Care Specialist
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What causes pseudomonas vaginal infection?
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I was just dianosed with a pseudomonas vaginal infection. I had noticed ONE time a dark brown/golden discharge. I have no itching, no irritation, maybe a little lower abdominal discomfort, and no foul smelling drainage. This was picked up on a routine GYN wellness exam. I have not had sex is 5 years. Could this have been contracted from sex toys? I do clean them but since I'm the only one that uses them, I don't clean them every time. I am 57, 165#, take no prescription meds and am very healthy. I had a hysterectomy when I was 37 but have my ovaries. I am an RN so I am concerned and puzzled with this particular nosocomial infection especially as it is gram negative. I understand you don't have a crystal ball, but could this be the cause?
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Hi, Thanks for posting in HCM. I understand your concern. Pseudomonas infections are caused by any of several types of the gram-negative bacteria Pseudomonas, most common one being Pseudomonas aeruginosa. The infections could be caused due to poor hygiene along with people with less immunity in conditions such as diabetes mellitus. You need to take a course of antibiotics like Cirprofloxacin or levofloxacin. Also, you need to maintain good hygiene of genital region by washing with mild antiseptic like Savlon. Kindly wash and keep the toys you use in good hygiene condition to prevent contact with infection again. Hope the information provided would be helpful. All the best.
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Suggest remedy for boils on anus region
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I have a small boil on the outer edge of the anus. Had one some 6 months ago along with pain and my doc here said it fissure. Why am I getting this again now and what does it mean? I am 61, female, obese, diabetic with Type 2 but with good control on my blood sugar.
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HelloI have gone through your question and understand your concern. Type 2 diabetes and obesity contributes to the problem making fissure difficult to heal. The best way to treat anal fissure is to keep it clean, dry, control blood sugars and avoid straining during defecation.Constipation and straining at defecation can worsen the problem try adding fiber rich food to diet, plenty of water to drink along with a dietary fiber supplement available over the counter to add bulk to stools. This will ensure easy and smooth passage of stools thereby preventing further damage.Follow Sitz bath using lukewarm water in a tub filled enough to soak your bottom when you sit in the tub, Betadine or Epsom salt may be added. Soak the bottom for 10 minutes every day and pat the skin dry after the procedure.Sitz bath is to be continued daily till the fissure heals followed by once every 3 days for prevention of problem and personal hygiene.Hope your concern is answered. Thank you.
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How to repair damaged heart muscles?
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A family member had a heart attack and was admitted in the hospital after several hours...because of which his valve has got damaged, the heart muscles as well as the kidney...he is diabetic. They had the stress thallium test done today and docs say only 25% heart is functioning. What do you suggest we should do now. Thanks in advance.
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Hi, Your family member has severe heart attack and only 25% of heart function is remaining. After heart attack damage to heart muscle is usually permanent and extend of damage depends upon duration between onset of symptoms of heart attack and the time of revascularisation achieved either with medicine or by stenting or other method. So our aim is to preserve the remaining function of heart. For which we have to prevent future heart attack. So it is advisable - 1) Coronary angiography and depend on it permanent revascularisation of at risk blood vessels of heart. 2) Strict compliance with medicine advised (blood thinning, cholesterol lowering, other to preserve heart function like Beta blockers, ACE inhibitor or ARBs. 3) Regular BP check and keep it under control. 4) Diabetes control with medicine appropriate for current heart function insulin is preferred. 5) Keep cholesterol under control. 6) Regular tolerable exercise after consultation with your cardiologist.. 7) Avoidance of smoking, alcohol. As far as heart valves damage is concerned treatment is depends on extent of heart damage (usually leakage) and patient's symptoms, recurrent heart failure may require surgical correction Kidney damage after heart attack is usually reversible in most of cases. Recovery of kidney function depends upon presence of underlying CKD (chronic kidney disease) and it's stage.
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What causes irritation with genital ulcers on foreskin?
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Starts with irritation at the penis foreskin for about 3-4days then 3 or 4 rush-like swellings (3-mm wide about 3mm apart) show in a group (in a line). After a about 2 days they become woulds so painful lasting over one week. I also have a growth 2mm thick about 4mm tall at the penis start skin.Seen Doctors: Doctor 1 - Three Months ago:Thinks it is a bacterial infection and treated with antibacterials, Symtoms disappeared. By then then the growth 2mm thick about 4mm tall at the penis start skin was not there but other symptoms described were there.Doctor 2: 3 weeks ago:Thinks I have genital ulcers with herpes + Warts and gave me viral treatment. The wounds healed but I fealing the symptoms for irritation at the penis foreskin starting again (6days now). The penis and area around it now also itches.My partner was also treated in both cases.What should I do next?
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Hello, But I would recommend that you get tested for HSV and other std. Also please send a photo of the lesion to be able to help you further. I would also recommend that you get tested for diabetes which can predispose to infections by a blood test for blood glucose levels both fasting and postprandial. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Salah Saad Shoman, Internal Medicine Specialist
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Strange problem of fear of death
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i am BE student.my age is 23.I got ,recently,strage problem that fear of death, i am worried about aging ,death.it may be happened because of emotional behaviour,i came from financly weak family,i have very small family with not much family members and friends.whenever i think about aging,i feel suffocated.i not only worried about me but also about my family members.only thing that made me happy is that research is going on anti-aging.is it anti-aging possible or atleast postpon aging? i am still worried............, please will you advice me in this regard, THANK YOU VERY MUCH.
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I am sure that something has happened in your life recently that has trigerred this phobia for death. It is very simple to solve if you can logically reason it out. Unfortunately you cannot do it since your unconscious mind refuses to accept it. If you can see a Hypnotherapist and explain this , he will solve it for you. Anyway, I am going to help you by the following message. Every one born in this world begins with biryh and ends with death. The duration of the life is dependent on the life style you live. A healthy environment will usually give you a long life. Ageing is also a process which can be controlled to a certain extent by your habits and life style. One who has healthy habits, does regular exercise. eats healthy food , avoids all intoxicants like alcohol, smoking and chewing tobacco will be able to delay the process of ageing but cannot avoid it. Someone in your family or friends must have died prematurely and that may be due to some comon disease like diabetes, or heart attack or cancer and this must have affected you. So dont worry , you follow the instructions given by me and you will live along and healthy life.
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Can lipids levels rise post gall bladder surgery?
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I am a 69 year old female with type 2 diabetes. I weigh 163 pounds and I measure 5 6 . I had my gallbladder removed on 7/8/2014 due to several stones only in the gallbladder, and I appear to be recovering without incident. I am scheduled for my post-op appointment with my surgeon on 7/15. I received an online report of my test results, and the ALT and AST results appear high to me. The report listed the results with normal ranges in parentheses as follows: ALT (9-52 U/L) 131A AST (14-36 U/L) 282 A My question: Are high lipids related to recent gallbladder surgery? What questions should I be prepared to ask my surgeon?
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Hi, dearI have gone through your question. I can understand your concern. You have gall stone Nd you have gone through cholecystectomy. AST and ALT are liver enzymes. They are not lipids. Their levels increase in liver damage. It is due to gall bladder surgery. No need to worry. Just repeat your AST and ALT levels after 6 week. Take low fat diet. Avoid alcohol and smoking. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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What is whole body yeast infection and how is it caused?
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what is a whole body yeast infection? I have j ust been diagnosed and have been feeling awful for agaes, ffatigue, bladder infections, digestive problems, insomnia, rashes, vaginal itch and buning that I cannot cure. How did I get such a severe fungal infection? Thank you!
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Hello mam....(1) you r suffering from the infection of a fungus known as CANDIDA ALBICANS which is the most common yeast infection found in humans...(2) candida albicans is present in small amounts in human body in almost every human which is thus very normal BUT the problem arises when there is EXCESSIVE GROWTH of candida which may occur due to many reasons like decreased immunity/diabetes/certain drugs n other medical conditions (3) yeast growth occurs maximally in WARM N MOIST BODY PARTS (4) it usually affects skin/genitals/throat/mouth/blood...(5) yeast infection is not dangerous untill it enters blood so dont worry ur infection is very well treatable (6) take a solingle tablet of FLUCONAZOLE 150 mg at night (7) other measures - maintain proper hygeine / dont just take shower rather stay in bath tub for 15-20 minutes as it would wash away the yeast around ur genitals/clean properly untill dry after bath or after using toilet/wear loose cotton underwears/avoid alcohol n sugars/eat live yogurt.....follow these n u will be fine soon....plz dont hesitate to clear any more doubts if u want to....get well soon...dr rahul rathee
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What causes fainting and loss of strength after strong smell?
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My husband has had 2 episodes today and one yesterday where either strong scent or some foods make him have fainting sensation and loss of strength. What could this be? He takes medication for Alzheimer (early onset diagnosed at age 54), severe depression, sleeping disorder. None of the meds. are new.
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Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryThe probability of seizures is high with that history.The typical history of partial seizures is a combination of certain symptoms. These symptoms include strong smell etc. The episodes should be taken seriouslyYou may need to start medicines called antiepileptic drugs. The drugs are however serious medicines and need a regular neurologist uptake.Since he has alzheimers disease, I think it would be good to meet your regular neurologist again and have the medicines prescribed.An MRI brain may also be neededI hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. You can upload them on the site.You can upload them with the query, or if you have a problem, send them to [email protected] with Sub: ATTN 'Your Name'. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me.Please do understand that some details could be extracted from a detailed history and examination.Please click on Thanks/Helpful if found useful.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.Dr Mittal.MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
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What treatment is suggested for itching on the body?
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My wife has severe itching over most of her body. It is worse on her back, across her chest, on both arms and behind her knees. She has no allergies we are aware of. Has been to doctor 4 times over last month. One biopsy was inconclusive and we are waiting on results from 2nd biopsy. She gets about 3 hours sleep a day and heat makes it worse. Please help...
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Hello.Thank you for asking at HCM.I reviewed your wife's history and one most important think I would like to ask you is whether she has only itching or itching with skin rash?If she has itching with skin rash, I will first think of chronic urticaria, and she will require long term regular montelukast & levocetirizine.However, as you haven't mentioned skin rash, I assume she has only itching and therefore am elaborating it in detail.There are many causes of itching like diabetes, thyroid problems, dry skin, micronutrient (vitamin and minerals) deficiency, excessive sweating, chronic liver or kidney dissease, some drugs, etc.So I would like to suggest her investigations like CBC, ESR, fasting and post-prandial blood sugar, serum protein including albumin, prothrombin time, creatinine & urea, thyroid tests & urine examination. These reports will guide towards cause of the itching. Your doctor will be able to treat the cause. Also, if she is on any other long term medications, please inform your doctor and ask him whether they could cause itching as a side effect.For dry skin, I would suggest regular use of moisturizers and take regular vitamin supplements especially vitamin E, zinc, selenium & vitamin A.Hope this will help you.Wish your wife the best of the health.Regards.
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Unable to empty bladder on urinating. Urine test shows albumin, pus cells, RBC. Cause of concern?
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Hi, I am XXXXXXX. I have some problems regarding while urinating, some thing like feeling not fully urinated even if I have completed urination . Today, I had urine test to check the presence of infection. The result is there is presence of albumin , 30-35/hpf pus cells, and 8-10/hpf red blood cells. I just want to know what can be the cause of this problem? Is this situation called albuminuria and is there any danger or problem in the functioning of my kidneys?
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Hi, Thanks for choosing HCM yes it is urinary tract infection(UTI) presence of albumin in urine is called albuminuria...but if it is in traces ,you need not worry because it stops when the infection subsides Do you get UTI frequently? because if it is so ,urine might of gone up in the urinary tract towards the kidneys and damages its tissue leading to scars.... what is your age? any history or family history of diabetes and hypertension? please get these checked up and take proper treatment because in diabetes ,proteinuria is seen and hypertension(bp) may also be due to kidney damage dont worry drink lots and lots of water ,it flushes the infection take treatment if recurring common problem with uti is when antibiotics are prescribed for 5 days or so,you start taking it and when you take half the course your symptoms subsides ,so you will stop the medication. that is wrong ......... because though your symptoms subside some of the infection is still present which flares up after you stop taking medicine and it also causes resistance so that the antibiotic will not be effective when you use the next time(even if you take a bigger dose) so take care ,talk to the doctor and take up all tests needed get a ultrasound abdomen (scan )done if suggested. take treatment depending on the pathology hope i answered your queries feel free to contact me for further queries thank you
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Brothers were on kidney dialysis, died. What are the symptoms? Color of urine?
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My name is Ron and I had 2 brother who were on kidney dialysis and both of them recently died. The one was mixing aspirin and Ibupropin ,but both got infections. I went to my Dr. 3 months ago and everything is normal. I am 62 years old. What are the symtoms. Can you tell my the color or smell of your urine? Thanks YYYY@YYYY
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Hi Friend..I will help you knowing symptoms of Kidney infections and also colour of urine indicates probable cause of disease.Yellow - Normal urine colourWhite - Excess hydrationRed/Pink - Urinary Tract Infection /Kidney Stone (Hematuria)Orange - DehydratedBrown -Very dense urine concentration, extreme dehydration; consumption of fava beans; melanuria (too many particles in urine); UTI; kidney stone; kidney tumor or blood clot; Addison’s disease; glycosuria; renal artery stenosis; proteinuria; pituitary problem (ADH, or antidiuretic hormone)Black -Alkaptonuria, a genetic disorder of phenylalanine and tyrosine metabolism marked by accumulation of homogentisic acid in the blood; poisoningCloudy -Urinary tract infection, kidney problem, metabolic problem, or chyluria (lymph fluid in the urine), phosphaturia (phosphate crystals), pituitary problem (ADH, or antidiuretic hormone)Foamy -Turbulent urine stream; proteinuria (most common causes are diabetes and hypertension)An ammonia-like odour means your urine is concentrated and you may be dehydrated.A foul odour could be blamed on infection-causing bacteria.A sweet odour is often an indicator of uncontrolled diabetes or a metabolic disorder.A musty odour may arise from a liver disease or metabolic disorder.Hope I Provided Useful Information..Take Care.
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Does irregular heartbeat lead to stroke?
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My mother has been told she is 2 pints low on blood. Her heart is skipping beats in the bottom part of her heart. Now she has had a spell where she just blacked out. I m afraid she could have a stroke but the doctor said that a stroke comes from the top chamber of her heart. Is there still a chance of a stroke?
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Brief answer : Yes irregular heart beat may lead to stroke.Detailed Answer:Hello,Thank you for using HCM.The skipping beats from the bottom part of the heart, so called premature ventricular complexes (PVCs), when happen frequently, are associated with risk of incident stroke even in patients free of hypertension and diabetes. Frequent PVCs are associated with impaired ventricular relaxation that leads to remodelation of the heart increasing the risk of clot formation and embolization.Even though there are not to many studies about the relationship of ventricular rhythm abnormalities with stroke, in contrast to the established association of atrial fibrillation(irregular heart beat by the upper part of the heart) with incident stroke. That's why your doctor told you that strokes comes from the top chambers of the heart. To rule out a possible stroke your mother should undergo a head CT scan or MRI.Hope this is helpful.Let me know if you need more clarifications. Otherwise please close and rate the answer.Kind Regards, Dr. Juarda
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Does Metformin cause heart attacks or B12 deficiency?
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I m 55 yr. old male who s 50lbs. over weight. I m currently in a pre diabetes range. My doctor just started me on topiramate and metformin to so that I can avoid type 2 diabetes. I m very concerned about the risks in taking metformin. He didn t tell me about a B12 deficit issue or the heart risks. I started taking B12 today. I m scheduled to see him in another 3 months. Another note, due to back issues I m not able to to do much in the way of exercising right now. In time, I will be. With exercise, healthy diet and having lost weight, might it be possible to avoid diabetes without the use of these drugs?
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hiyou get Diabetes once it can be kept under control but it cannot be cured so keeping your diabetes under control is the best option. since you are taking metformin it doesn't cause any Heart Attack or vitamin B12 deficiency it may slightly cause some gastritis. it's better to check HB a1c levels in aeroplane at least 3 months wants to keep your sugar levels under control. healthy foods and healthy diets can keep your blood sugar under control but it cannot cure your diabetes. brisk walking would be the best physical activity for controlling diabetes at least for 30 minutes a day thank you.
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What causes abdominal pain along with fever while suffering from diabetes?
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Hello, I am a 32 yr. Type 1 diabetic. I was wondering that since my pancreas has not produced insulin in all these years, is it still possible for me to develop pancreatitis? I have been having absolutely no luck controlling my glucose levels for 2 weeks. I wear an insulin pump and it seems like it isn t even working. I have abdominal pain, been feverish, sick to stomach and pretty much just feel terrible. I know I should go to hospital but I also know that they will keep me and I have been trying to avoid that. However, I also know that I cannot let this go on any longer. Any advice would be appreciated. After all these years, this is the first time that I have even thought that I need hospitalization. Just need to know if pancreatitis is a possibility. Thank you! Never mind, seems you have to pay and I don t have it. Thanks anyway for nothing.
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Hello,Please try to understand Pancreatitis can be the result and cause of diabetes. The symptoms which you are describing are also seen in pancreatitis.So, please visit the Emergency room to get investigated as ultrasound abdomen and lab tests, do not delay. In the meantime, try to maintain your sugar level below 140 mg % and avoid fatty foods to reduce pancreatitis pain.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi
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Is Colchicine the right medicine for gout?
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I am 75 yrs old I have diabetes, i am on warfarin due to blood cloys in my legs and lungs. I had, for the first time an outbreak of Gout in my left foot. Recently prescribed colchicine for a recent 2nd flair up of ”gout” same place ….big toe joint left foot.. The side effects listed concerns me. Your comments would be appreciated
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Hello, Yes, the medicine provided is right for gout. Since you have a past medical history of Diabetes the healing will be slow. Also warfarin is added to the reduction in the medical effects of the colchicine. I will advice you to undergo geriatric rehabilitation program which consists of general exercise which helps the overall muscle strength and also improve the circulation in the blood vessels. Also doing exercises for the foot like keeping in warm water and picking up marbles with toes will be useful. Use taping for the foot to avoid gout pressure effects on the Ligaments. Most cases I have seen in the past 12 years of clinical practice are helped better with the combination of exercise and medicine. As medicines are symptomatic relievers and never advised for long term use its exercise which helps to cut down the side effects of the medicine in some cases. Doubting the physician for the prescription of medicine isn't the right thing to do. Follow the geriatric rehabilitation program, exercise for the whole body, foot exercises etc should give you optimum results. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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What could cause dizziness and loss of appetite?
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My son is 24 years old. He is feeling dizzy and extremely tired. 3 days ago he fainted after feeling like he was going to throw up. He was able to eat something, but then felt chilled and exhausted. He seemed to do better for a couple of days, and now today is starting to feel the same symptoms but has no appetite. My son has been very healthy and has never had a serious health issue. He is a college student and is not currently living at home. I've suggested that he go to his student health clinic, but wondered what could cause the dizziness, loss of appetite. I am concerned that he may faint while driving to/from class.
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Hello and welcome to HealthcareMagic.Feeling dizzy and ill is not a very specific finding, meaning it could be a manifestation of many different conditions, so more info or tests might be necessary. Also it is not clear since when have the issues appeared and whether you have had any tests.One possibility for light-headedness would be anemia, which commonly manifests with dizziness andtiredness.Heart rhythm and function abnormalities would also lead to insufficient blood supply to the brain and other organs so would also justify those symptoms.Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well.If the symptoms have appeared only very recently it might be a simple transitory viral infection which are generally transitory and need only rest and hydration.So I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, EKG.I remain at your disposal for other questions.
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Is sugar level 53 in kid a cause for concern?
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My son who just turned 4 years old is always constantly wanting water. My mom thinks he has diabetes so tonight we were at a family friends house and checked his sugar levels with our friends diabetes kit. His number results were at a 53. Is that normal?
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Hi,Welcome To Healthcare Magic.I can understand your concern regarding to your child’s health.The method which you used to check your child’s sugar level that was for random blood sugar. As it is 53, it is very less than normal range of random blood sugar. So, it is called hypoglycemia and it is little bit a dangerous condition.In hypoglycemia, child cannot live in normal condition. But, according to your question, I feel that your child would be normal at your friend’s home after getting the number 53 in glucometer. So, I think that glucometer might be doubtful and is not showing proper result. So, immediately consult your pediatrician to check blood sugar level in the body of your child and also tell him about this result of glucometer of 53 number without doing wait even for a day. After doing all these things, I hope your child will get well sooner and please share your review about my answer on healthcare magic.Take Care,Thank You.From:- Dr. Nupur Shah
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Does high sugar level cause lethargy?
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My mother had a severe stroke about 3 months ago. She can not speak or use the right side of her body. She is a diabetic. She has made some minor improvements during her recovery but has leveled off and even regressed in the last 1-2 weeks. She has been really lethargic over the last week. She wants to sleep all of the time. Her glucose level the last several days has been in the upper 300's several times over the last few days. Could this high glucose level be responsible for her lethargy? We are not sure what her glucose levels were before.
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Hi,Thank you for asking your query on HealthcareMagic.I have gone through your query and to give a direct answer, both high and low levels of glucose in a diabetic person can cause fatigue. High sugar levels in the blood slow down the circulation thereby decreasing the oxygen/nutrient supply to the tissues. Low blood sugar levels lead to decrease supply of fuel (glucose) to the tissue cells and hence can lead to fatigue. This means the blood glucose levels in a diabetic should be monitored and maintained at normal levels with the help of medications and lifestyle changes, at all times.Apart from diabetes, there are other causes of fatigue like anemia, low thyroid levels, infections, medicine side effects etc. and need to be taken into consideration too. Kindly consult your doctor for the further course of action and let me know in case of any further query.BestDr Vishesh
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Any suggestion for kidney function test shows 54 and 1.8?
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My relative is 85 yr male. Was told kidney function tests came back as 54 and 1.8. Were 39 and 1.3 last week. I think the 1.? number is cretine levels, not sure what the other is? How bad is this? Can we do anything besides drainage via catherters and drinking more fluids?
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Likely the Ist value is urea and the second value is creat. At his age people are quite susceptible for renal injury with commonest ppt factors being dehydration, pain killers, overprescription of antihypertensives, especially those who are suffering from diabetes or hypertension . Although there could be other causes. Hence he might require to be seen by a nephrologist if a repeat urea and creatinine are not normal.
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Suffering from CKD, anemia, diabetes, hypertension. Fatigue due to low hemoglobin, insomnia, elevated heart rate. How to increase Hb level?
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Hi Doctor, My Mother is suffering from the CKD with severe Anaemia . Below ia the details Age: 63 Years DM: Since 2007 High BP: Since 2002 First CKD Diagnosed: Dec 2008 S. Creatinine: 2.6 Urea: 52 Haemoglobin: 4.3 After the Cataract operation on Jan 2012, Her health is down day by day. From March 2012, we used to do the blood transfusion of 2-3 unit once in 20-25 days. She is on complete diet as suggested by the dietician. Present Complaints: 1) Severe Weakness in whole body due to the Low HB count. we already had Erythroprotien inj like Vintor 0000unit, Cresp 2.5 mcv, & Eprex 4000 unit for monthy doses but no result. 2) Insomania( Not able to sleep at night), Although she is taking the Amlovas for the same. 3) Blowing sound on ear. 4) Heart beat increases continuosly throughout the day. Medication: Cudo Forte 0-0-1 Sobeasis Forte - 0-0-1 Glucobay- after meal 0-1-0 Nuroday : 1-0-0 Folvite: 0-0-1 Renal Resource Powder Sir, Please suggest us the solution for improving her HB level, so that other things will also improve simultaneoulsy. Many Thanks Shiva 0000
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Hi Shiva. Thanks for the detailed history. Make my life much better when I get a good summary of the problems and list of medications! People with advanced CKD have deficiency of production of erythropoietin (EPO) and hence need it as injections. That along with replacement of any deficiency of the following - iron, Vitamin B12 and folate should be sufficient. Your mother has something more than simple EPO deficiency. Kindly consult a haematologist ASAP. She will need more tests and a 'Bone Marrow' exam (if not already done) to diagnose the cause of severe anemia. Best wishes.
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Recurring spells of dizziness with stuttered speech, tingling and numbness in arms. What is the cause?
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I have been feeling dizzy for about a little over a month now and am now getting worried as to what the problem might be. My speech has been suffering for about 2 years now and I can t figure out why......It just feels like I can t get my words out properly. I used to get a lot of numbness and tingling in both my arms but now I just get it every now and then. I have gone to the doctor and he ordered a complete blood work on me but I have nt heard back from him yet. Can you help?
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Hi, Welcome to Health care magic forum. The reason for the symptoms may be the hypertension, diabetes,anemia, infection of the internal ear,or ischemia of the brain. I advise you to consult a neurologist for diagnosis and treatment. You may need to have an M.R.I. and other tests for diagnosis and treatment. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have good health and resistance against infections. Wishing for a quick and complete recovery. Thank you.
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Is orthrodesis surgery essential for charcot marie tooth disease?
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My 40 yr. old son has Charcot Marie tooth disease. His dr. recommended gastric recesssion triple orthrodesis surgery. I feel this is too intrusive. and I m afraid for him. I feel he needs another opinion. Can you suggest someone he could consult with?
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hThanks for using Health Care Magic.Read your query.Yes,charcot Marie tooth disease is a hereditary condition which usually progresses slowly and is treated based on the symptoms developed as there is no complete cure for it till date.I would advice you to consult a good orthopedician and get it evaluated. Physiotherapy may be required based on what condition it.Surgery may or maybe not require based on the foot deformity.Have a good nutritious diet with ascorbic acid also .Have a healthy life .If systemic conditions of diabetes is present,start the treatment for it.Hope this was helpful.Thanks and regards.
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